Organization
IDEAL LIFESTYLE PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH CHAD STRAUSS DC, BS (OWNER)
(843) 424-5847
Entity
Organization
Contact information
Practice address
757 LONG POINT RD, MT PLEASANT, SC 29464-8328
(843) 424-5847
Mailing address
757 LONG POINT RD, MT PLEASANT, SC 29464-8328
(843) 424-5847
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3867
SC
111N00000X
Chiropractor
3868
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3867
SOUTH CAROLINA STATE LICENSE NUMBER
SC
Enumeration date
04/21/2014
Last updated
11/17/2015
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